HOSPITAL AUDIT ANALYST

Description

Job Summary: Santa Casa de Maringá is seeking a Hospital Audit Analyst to ensure quality, regulatory compliance, and financial sustainability of clinical processes. Key Highlights: 1. Integrate the team at an ONA-certified hospital with a focus on humanization. 2. Conduct concurrent and retrospective medical record audits. 3. Identify inconsistencies and investigate claim denials to ensure financial sustainability. **Job Description:** ---------------------- Santa Casa de Maringá is a hospital accredited by ONA (National Accreditation Organization) for quality in health services—a seal affirming our core principle of respect for life. We are a hospital whose primary value is humanization. We focus on training programs designed to enhance our employees’ learning, as we recognize that this contributes directly to our foremost mission: caring for people. We are seeking a Hospital Audit Analyst to join our team and support the quality, compliance, and financial sustainability of our clinical processes. Responsibilities: Perform concurrent and retrospective audits, reviewing the entire medical record during hospitalizations and after discharge; Conduct comprehensive review of hospital bills; Identify inconsistencies or improper charges; Actively participate in the billing phase; Detect documentation failures; Investigate potential claim denials. **Essential Requirements:** ------------------------------ Postgraduate degree in AUDIT. Knowledge of supplementary and public health legislation; Familiarity with Brazilian coding systems: Brasindice Simpro, TUSS, AMB, and SIGTAP; Proficiency in Microsoft Office suite (especially Excel); Analytical, organized profile with strong communication skills; Systemic vision; **Employment Type:** -------------------------- CLT (Consolidated Labor Laws) **PwD (Persons with Disabilities):** -------- NOT APPLICABLE **Benefits:** --------------- Co-payment Health Plan Dental Plan Meal Voucher Attendance Bonus Employee Association On-site Meals Transportation Voucher Childcare Center Wellhub Partnership Bonus Leave Birthday Day Off **Work Location:** ---------------------- SANTA CASA **Working Hours:** ------------------------ Monday to Friday, 8:00 AM to 6:00 PM